Evidence-based healthcare information management protocols
Structures and protocols are presented for signaling a decision (processing or transmitting a medical record or other resource, e.g.) conditionally, at least partly based on one or more performance indicia (excess hospital readmissions, e.g.) or therapeutic determinants (prior success, e.g.) or privacy considerations (patient consent, e.g.).
1 . A healthcare information management system comprising:
circuitry for obtaining an indication of a first protocol being employed in relation to a particular condition in a first patient;
circuitry for requesting an effectiveness indication of the first protocol from an entity partly based on the entity validating the first protocol and partly based on a first communication delay associated with the first protocol, the first communication delay exceeding one hour, the entity being or not being the first patient; and
circuitry for signaling a decision whether to update a prominence indication of the first protocol in response to whether the effectiveness indication of the first protocol was received from the entity after the effectiveness indication is requested from the entity partly based on the entity validating the first protocol and partly based on the first communication delay associated with the first protocol.
2 . (canceled)
3 . The healthcare information management system of claim 1 , further comprising:
circuitry for obtaining an indication whether an individual is compliant with a health regimen, the individual being the first patient, the health regimen including the first therapy.
4 . The healthcare information management system of claim 1 , further comprising:
circuitry for detecting a passive wireless transponder within a vicinity of a vehicle, the passive wireless transponder being associated with and wearable by the first patient.
5 . The healthcare information management system of claim 1 , further comprising:
circuitry for causing a locally-resident subscriber registry to be updated, the first patient being a subscriber listed in the locally-resident subscriber registry.
6 . The healthcare information management system of claim 1 , further comprising:
circuitry for obtaining an explicit indication whether a record of treating a medical condition in a particular person with a particular protocol contains any extrinsic evidence that treating the medical condition with the particular protocol has precedent, the particular person being the first patient.
7 . The healthcare information management system of claim 1 , further comprising:
circuitry for detecting a wireless device within an effective range of a stationary device, the wireless device being associated with and wearable by the first patient.
8 . The healthcare information management system of claim 1 , further comprising:
circuitry for obtaining an indication that a specific pathology in a particular individual has been treated at a first hospital and an indication that the specific pathology in the particular individual has been treated at a second hospital, the particular individual being the first patient, the particular condition comprising the specific pathology.
9 . The healthcare information management system of claim 1 , further comprising:
circuitry for updating a locally-resident subscriber registry in response to an individual entering a service zone, the individual being the first patient.
10 . The healthcare information management system of claim 1 , further comprising:
circuitry for looking up a second communication delay as a function of a medical condition; and
circuitry for transmitting a query as an automatic response to an expiration of the second communication delay, the query comprising a request for another effectiveness indication of the first therapy.
11 . The healthcare information management system of claim 1 , further comprising:
circuitry for looking up a communication delay as a function of a therapeutic protocol, the communication delay being the first communication delay, the therapeutic protocol comprising the first therapy; and
circuitry for transmitting a query as an automatic response to an expiration of the communication delay, the query comprising a request for the effectiveness indication of the first therapy.
12 . The healthcare information management system of claim 1 , further comprising:
circuitry for receiving a communication delay as data entered by a user, the communication delay being the first communication delay, the user being the entity; and
circuitry for transmitting a query as an automatic response to an expiration of the communication delay, the query comprising a request for the effectiveness indication of the first therapy.
13 . The healthcare information management system of claim 1 , further comprising:
circuitry for causing an individual to be contacted by a fallback mode of communication as a conditional response to receiving no reply from the individual by a prior mode of communication, the prior mode of communication being telephonic, the entity being the individual.
14 . The healthcare information management system of claim 1 , further comprising:
circuitry for contacting an individual by a fallback mode of communication as an automatic and conditional response to receiving no reply from the individual by a prior mode of communication, the fallback mode of communication being telephonic, the entity being the individual.
15 . The healthcare information management system of claim 1 , further comprising:
circuitry for retrieving a medical treatment record of one individual selectively in response to an explicit indication of a payment reduction that identifies the one individual, the one individual being the first patient.
16 . The healthcare information management system of claim 1 , further comprising:
circuitry for retrieving a medical treatment record relating to a set of one or more pathologies selectively in response to an explicit indication of a payment reduction that identifies the set, the medical treatment record including the prominence indication.
17 . The healthcare information management system of claim 1 , further comprising:
circuitry for initiating a telephone call between a first individual and a second individual as an automatic response to the first individual not being compliant with a health regimen and to an indication that the second individual is available, the first individual being the first patient.
18 . The healthcare information management system of claim 1 , further comprising:
circuitry for signaling a decision whether to transfer a resource to a first individual partly based on an indication that the first individual is not compliant with a health regimen and partly based on an indication that the first individual has accepted a telephone call, the first individual being the first patient, the health regimen comprising the first therapy.
19 . The healthcare information management system of claim 1 , further comprising:
circuitry for signaling a decision whether to transfer a resource to a first individual partly based on an indication that the first individual is not compliant with a health regimen and partly based on an indication that the first individual has accepted a telephone call, the first individual being the first patient, the health regimen comprising the first therapy, the resource being a product, the decision whether to transfer the resource to the first individual being signaled by dispensing the product to the first individual.
20 . (canceled)
21 . The healthcare information management system of claim 1 , further comprising:
circuitry for responding to an event with an audible notification at the first device, the event comprising a release of the first medical record.
22 . The healthcare information management system of claim 1 , further comprising:
circuitry for responding to a payment-reduction event relating to a first medical treatment by causing a selective retrieval of one or more records that lack any prominence indication relating to the first medical treatment from an archive that includes at least one prominence indication relating to a second medical treatment, the second medical treatment comprising the first therapy.
23 . The healthcare information management system of claim 1 , further comprising:
circuitry for triggering a search of a particular records archive by providing a selective search criterion, one that results in an exclusion of a first element in the particular records archive and an inclusion of a second element in the particular records archive, the first element in the particular records archive comprising the prominence indication.
24 . (canceled)
25 . The healthcare information management system of claim 1 , further comprising:
circuitry for transmitting a real-time notification to a first person as an automatic response to an interface in a vicinity of a second person detecting a particular event relating to the second person, the second person being the first patient.
26 . The healthcare information management system of claim 1 , further comprising:
circuitry for transmitting a real-time notification to a first person as an automatic response to an interface in a vicinity of a second person detecting a particular event relating to the second person, the second person being the first patient, the entity comprising the first person, the event relating to the second person, the first therapy comprising a regimen, the event comprising a sensor activation indicative of noncompliance with the regimen.
27 . The healthcare information management system of claim 1 , further comprising:
circuitry for implementing a failsafe preventing medical equipment from operating until an order associating the medical equipment with a patient is received and until an indication is received that the patient is in a vicinity of the medical equipment, the patient being the first patient.
28 . The healthcare information management system of claim 1 , further comprising:
circuitry for implementing a failsafe preventing medical equipment from operating until an order associating the medical equipment with a patient is received and until an indication is received that the patient is in a vicinity of the medical equipment, the patient being the first patient, the medical equipment being an imaging machine.
29 . A healthcare information management system comprising:
means for obtaining an indication of a first protocol being employed in relation to a particular condition in a first patient;
means for requesting an effectiveness indication of the first protocol from an entity partly based on the entity validating the first protocol and partly based on a first communication delay associated with the first protocol, the first communication delay exceeding one hour, the entity being or not being the first patient; and
means for signaling a decision whether to update a prominence indication of the first protocol in response to whether the effectiveness indication of the first protocol was received from the entity after the effectiveness indication is requested from the entity partly based on the entity validating the first protocol and partly based on the first communication delay associated with the first protocol.
30 - 48 . (canceled)
49 . A healthcare information management method comprising:
obtaining an indication of a first protocol being employed in relation to a particular condition in a first patient;
requesting an effectiveness indication of the first protocol from an entity partly based on the entity validating the first protocol and partly based on a first communication delay associated with the first protocol, the first communication delay exceeding one hour, the entity being or not being the first patient; and
signaling a decision whether to update a prominence indication of the first protocol in response to whether the effectiveness indication of the first protocol was received from the entity after the effectiveness indication is requested from the entity partly based on the entity validating the first protocol and partly based on the first communication delay associated with the first protocol.
50 - 67 . (canceled)
68 . The healthcare information management method of claim 49 , further comprising:
implementing a failsafe preventing medical equipment from operating until an order associating the medical equipment with a patient is received and until an indication is received that the patient is in a vicinity of the medical equipment, the patient being the first patient.
69 . An article of manufacture for healthcare information management comprising:
one or more physical media configured to bear a device-detectable implementation of a method including at least
obtaining an indication of a first protocol being employed in relation to a particular condition in a first patient;
requesting an effectiveness indication of the first protocol from an entity partly based on the entity validating the first protocol and partly based on a first communication delay associated with the first protocol, the first communication delay exceeding one hour, the entity being or not being the first patient; and
signaling a decision whether to update a prominence indication of the first protocol in response to whether the effectiveness indication of the first protocol was received from the entity after the effectiveness indication is requested from the entity partly based on the entity validating the first protocol and partly based on the first communication delay associated with the first protocol.
70 - 88 . (canceled)
89 . An article of manufacture for healthcare information management comprising:
one or more physical media bearing a device-detectable output indicating an occurrence of
obtaining an indication of a first protocol being employed in relation to a particular condition in a first patient;
requesting an effectiveness indication of the first protocol from an entity partly based on the entity validating the first protocol and partly based on a first communication delay associated with the first protocol, the first communication delay exceeding one hour, the entity being or not being the first patient; and
signaling a decision whether to update a prominence indication of the first protocol in response to whether the effectiveness indication of the first protocol was received from the entity after the effectiveness indication is requested from the entity partly based on the entity validating the first protocol and partly based on the first communication delay associated with the first protocol.
90 - 108 . (canceled)